Journal article

Long-term oncological outcomes of the Agarwal loop-ligation technique for management of the distal ureter during laparoscopic radical nephroureterectomy

Venetia Hoe, Henry H Yao, Jack Crozier, Abbie Kanagarajah, Grace Florescu, Jamie Kearsley, Philip Dundee, Helen E O'Connell, Nathan Lawrentschuk, Dinesh K Agarwal

BJU INTERNATIONAL | WILEY | Published : 2021

Abstract

OBJECTIVES: To describe the Agarwal loop-ligation technique for the management of the distal ureter during laparoscopic radical nephroureterectomy (LRNU) for upper tract urothelial carcinoma (UTUC) and report on long-term oncological outcomes. PATIENTS AND METHODS: In the Agarwal loop-ligation technique, the distal ureteric stump is controlled using endoscopic Endoloop® or PolyLoop® ligation to ensure en bloc excision of the bladder cuff and prevent spillage of upper tract urine into the perivesical space. A retrospective review of the medical records of 76 patients who underwent the Agarwal loop-ligation technique for UTUC at participating centres from July 2004 to December 2017 was perform..

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